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* 1. Presenter Name

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* 2. Presenter Agency/Company/Organization Affiliation

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* 3. Presenter Address

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* 4. Presenter Phone Number

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* 5. Presenter E-Mail

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* 6. Presenter Biography

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* 7. Additional Presenters (If more than one presenter, please add name, phone, e-mail and bio here

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* 8. Webinar Title

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* 9. Please indicate location of your project (country/state)

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* 10. Webinar Abstract (copy and paste here)

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* 11. Webinar Abstract Abbreviated (1-2 sentences for flier)

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* 12. Key Words:  Select all those that apply to your webinar submission

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* 13. Please indicate the month(s) that you are available to present, and note in the comment box if you have any months that are preferred.  We will do our best to accommodate your request.

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